Long-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases: the Italian snapshot

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Submitted: October 13, 2022
Accepted: November 19, 2022
Published: November 29, 2022
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Long-term home noninvasive ventilation (LTHNIV) in restrictive thoracic diseases was explored via the recently published international REINVENT ERS survey. The Italian subset of respondents (ITA-r), the highest above all participating nations, was analyzed and compared to non-Italian respondents (NO-ITA-r). The ITA-r represented 20% of the total answers examined. Ninety-four percent were physicians, whose half worked in a respiratory ICU (RICU). ITA-r mainly worked in community hospitals vs NO-ITA-r who are largely affiliated with university hospitals (p<0.0001). Amyotrophic lateral sclerosis (ALS) was considered the most common medical condition leading to NIV indication by both ITA-r and NO-ITA-r (93% vs 78%, p>0.5). A greater proportion of ITA-r considered MIP/MEP the most important test for NIV initiation as compared to NO-ITA-r (p<0.05). There was no significant difference for both ITA-r and NO-ITA-r as regards the other questions. This study illustrates Italian LTHNIV practices in patients with NMD and it shows some important differences with the other countries’ practices but agreement in terms of goals to achieve, reasons to initiate NIV, and practices among the two communities.

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Leger P, Bedicam JM, Cornette A, et al. Nasal intermittent positive pressure ventilation. Long-term follow-up in patients with severe chronic respiratory insufficiency. Chest 1994;105:100–5. DOI: https://doi.org/10.1378/chest.105.1.100
Köhnlein T, Windisch W, Köhler D, et al. Non-invasive positive pressure ventilation for the treatment of severe stable chronic obstructive pulmonary disease: a prospective, multicentre, randomised, controlled clinical trial. Lancet Respir Med 2014;2:698–705. DOI: https://doi.org/10.1016/S2213-2600(14)70153-5
Chailleux E, Fauroux B, Binet F, et al. Predictors of survival in patients receiving domiciliary oxygen therapy or mechanical ventilation. A 10-year analysis of ANTADIR Observatory. Chest 1996;109:741–9. DOI: https://doi.org/10.1378/chest.109.3.741
Hind M, Polkey MI, Simonds AK. AJRCCM: 100-year anniversary. Homeward bound: a centenary of home mechanical ventilation. Am J Respir Crit Care Med 2017;195:1140–9. DOI: https://doi.org/10.1164/rccm.201702-0285CI
5 Sunwoo BY, Mulholland M, Rosen IM, et al. The changing landscape of adult home noninvasive ventilation technology, use, and reimbursement in the United States. Chest 2014;145:1134–40. DOI: https://doi.org/10.1378/chest.13-0802
Janssens JP, Derivaz S, Breitenstein E, et al. Changing patterns in long-term noninvasive ventilation: a 7-year prospective study in the Geneva Lake area. Chest 2003;123:67–79. DOI: https://doi.org/10.1378/chest.123.1.67
Cantero C, Adler D, Pasquina P, et al. Long-term noninvasive ventilation in the Geneva Lake area: indications, prevalence, and modalities. Chest 2020;158:279–91. DOI: https://doi.org/10.1016/j.chest.2020.02.064
Radunovic A, Annane D, Rafiq MK, et al. Mechanical ventilation for amyotrophic lateral sclerosis/motor neuron disease. Cochrane Database Syst Rev 2017;10:CD004427. DOI: https://doi.org/10.1002/14651858.CD004427.pub4
Lloyd-Owen SJ, Donaldson GC, Ambrosino N, et al. Patterns of home mechanical ventilation use in Europe: results from the Eurovent survey. Eur Respir J 2005;25:1025–31. DOI: https://doi.org/10.1183/09031936.05.00066704
Bédard ME, McKim DA. Daytime mouthpiece for continuous noninvasive ventilation in individuals with amyotrophic lateral sclerosis. Respir Care 2016;61:1341–8. DOI: https://doi.org/10.4187/respcare.04309
Pinto T, Chatwin M, Banfi P, et al. Mouthpiece ventilation and complementary techniques in patients with neuromuscular disease: a brief clinical review and update. Chron Respir Dis 2017;14:187–93. DOI: https://doi.org/10.1177/1479972316674411
Garuti G, Nicolini A, Grecchi B, et al. Open circuit mouthpiece ventilation: concise clinical review. Rev Port Pneumol 2014;20:211–8. DOI: https://doi.org/10.1016/j.rppneu.2014.03.004
Carlucci A, Mattei A, Rossi V, et al. Ventilator settings to avoid nuisance alarms during mouthpiece ventilation. Respir Care 2016;61:462–7. DOI: https://doi.org/10.4187/respcare.04217
Carlucci A, Gregoretti C. Mouthpiece ventilation: just a home-care support? Respir Care 2014;59:1951–3. DOI: https://doi.org/10.4187/respcare.03789
Pierucci P, Santomasi C, Ambrosino N, et al. Patient’s treatment burden related to care coordination in the field of respiratory diseases. Breathe (Sheff) 2021;17:210006. DOI: https://doi.org/10.1183/20734735.0006-2021
Banfi P, Pierucci P, Volpato E, et al. Daytime noninvasive ventilatory support for patients with ventilatory pump failure: a narrative review. Multidiscip Respir Med 2019;14:38. DOI: https://doi.org/10.4081/mrm.2019.486
Pierucci P, Di Lecce V, Banfi P, GE Carpagnano, et al. The intermittent abdominal pressure ventilator as an alternative modality of noninvasive ventilatory support: a narrative review. Am J Phys Med Rehabil 2022;101:179-83. DOI: https://doi.org/10.1097/PHM.0000000000001804
Crimi C, Pierucci P, Carlucci A, et al. Long-term ventilation in neuromuscular patients: review of concerns, beliefs, and ethical dilemmas. Respiration 2019;97:185–96. DOI: https://doi.org/10.1159/000495941
Bach JR. Noninvasive respiratory management of patients with neuromuscular disease. Ann Rehabil Med 2017;41:519–38. DOI: https://doi.org/10.5535/arm.2017.41.4.519
Hess DR. Noninvasive ventilation in neuromuscular disease: equipment and application. Respir Care 2006;51:896–911.
Benditt JO. Respiratory care of patients with neuromuscular disease. Respir Care 2019;64:679–88. DOI: https://doi.org/10.4187/respcare.06827
Pierucci P, Bach JR, Di Lecce V, et al. Daytime non-invasive ventilatory support via Intermittent abdominal pressure for a patient with Pompe disease. Pulmonology 2021;27:182-4. DOI: https://doi.org/10.1016/j.pulmoe.2020.08.003
Pierucci P, Crimi C, Carlucci A, et al. REINVENT: ERS International survey on REstrictive thoracic diseases IN long term home noninvasive VENTilation. ERJ Open Res 2021;7:00911-2020. DOI: https://doi.org/10.1183/23120541.00911-2020
Masa JF, Sánchez-Quiroga MA et al. Obesity hypoventilation syndrome. Eur Respir Rev 2019;28:180097. DOI: https://doi.org/10.1183/16000617.0097-2018
Mooney JJ, Raimundo K, Chang E, Broder MS. Mechanical ventilation in idiopathic pulmonary fibrosis: a nationwide analysis of ventilator use, outcomes, and resource burden. BMC Pulm Med 2017;17:84. DOI: https://doi.org/10.1186/s12890-017-0426-2
Pierucci P, Di Lecce V, Marra L, Resta O.. Is there a threat of an increase in the rates of obesity hypoventilation syndrome? Expert Rev Respir Med 2020;14:117-9. DOI: https://doi.org/10.1080/17476348.2020.1690992
Crimi C, Noto A, Princi P, et al. A European survey of noninvasive ventilation practices. Eur Respir J 2010;36:362–9. DOI: https://doi.org/10.1183/09031936.00123509
Crimi C, Noto A, Princi P, et al. Survey of non-invasive ventilation practices: a snapshot of Italian practice. Minerva Anestesiol 2011;77:971–8.
Crimi C, Noto A, Princi P, et al. Domiciliary non-invasive ventilation in COPD: an international survey of indications and practices. COPD 2016;13:483–90. DOI: https://doi.org/10.3109/15412555.2015.1108960
Hazenberg A, Kerstjens HA, Prins SC, et al. Is chronic ventilatory support really effective in patients with amyotrophic lateral sclerosis? J Neurol 2016;263:2456–61. DOI: https://doi.org/10.1007/s00415-016-8288-8
Bourke SC, Tomlinson M, Williams TL, et al. Effects of non-invasive ventilation on survival and quality of life in patients with amyotrophic lateral sclerosis: a randomised controlled trial. Lancet Neurol 2006;5:140–7. DOI: https://doi.org/10.1016/S1474-4422(05)70326-4
Pierucci P, Ambrosino N, Dimitri M, et al. The importance of maintaining the same order of performance of lung function and SNIP tests in patients with amyotrophic lateral sclerosis. Amyotroph Lateral Scler Frontotemporal Degener 2020;21:337–43. DOI: https://doi.org/10.1080/21678421.2020.1771733
Andersen PM, Abrahams S, Borasio GD, et al. EFNS guidelines on the clinical management of amyotrophic lateral sclerosis [MALS] – revised report of an EFNS task force. Eur J Neurol 2012;19:360–75. DOI: https://doi.org/10.1111/j.1468-1331.2011.03501.x
Vrijsen B, Buyse B, Belge C, et al. Noninvasive ventilation improves sleep in amyotrophic lateral sclerosis: a prospective polysomnographic study. J Clin Sleep Med 2015;11:559–66. DOI: https://doi.org/10.5664/jcsm.4704
Arellano-Maric MP, Gregoretti C, Duiverman M, et al. Long-term volume-targeted pressure-controlled ventilation: sense or nonsense? Eur Respir J 2017;49:1602193. DOI: https://doi.org/10.1183/13993003.02193-2016
Windisch W, Storre JH. Target volume settings for home mechanical ventilation: great progress or just a gadget? Thorax 2012;67:663–5. DOI: https://doi.org/10.1136/thoraxjnl-2012-201679
Murphy PB, Davidson C, Hind MD, et al. Volume targeted versus pressure support non-invasive ventilation in patients with super obesity and chronic respiratory failure: a randomised controlled trial. Thorax 2012;67:727–34. DOI: https://doi.org/10.1136/thoraxjnl-2011-201081
Storre JH, Seuthe B, Fiechter R, et al. Average volume-assured pressure support in obesity hypoventilation: a randomized crossover trial. Chest 2006;130:815–21. DOI: https://doi.org/10.1378/chest.130.3.815
Janssens JP, Metzger M, Sforza E. Impact of volume targeting on efficacy of bi-level non-invasive ventilation and sleep in obesity-hypoventilation. Respir Med 2009;103:165–72. DOI: https://doi.org/10.1016/j.rmed.2008.03.013
van den Biggelaar RJM, Hazenberg A, Cobben NAM, et al. A randomized trial of initiation of chronic noninvasive mechanical ventilation at home vs in-hospital in patients with neuromuscular disease and thoracic cage disorder: the Dutch Homerun trial. Chest 2020;158:2493–501. DOI: https://doi.org/10.1016/j.chest.2020.07.007
Hazenberg A, Kerstjens HA, Prins SC, et al. Initiation of home mechanical ventilation at home: a randomised controlled trial of efficacy, feasibility and costs. Respir Med 2014;108:1387–95. DOI: https://doi.org/10.1016/j.rmed.2014.07.008
Bertella E, Banfi P, Paneroni M, et al. Early initiation of night-time NIV in an outpatient setting: a randomized non-inferiority study in ALS patients. Eur J Phys Rehabil Med 2017;53:892–9. DOI: https://doi.org/10.23736/S1973-9087.17.04511-7
Pierucci P, Portacci A, Carpagnano GE, et al. The right interface for the right patient in noninvasive ventilation: a systematic review. Expert Rev Respir Med 2022;16:931-44. DOI: https://doi.org/10.1080/17476348.2022.2121706
Annunziata A, Pierucci P, Banfi PI, et al. Intermittent abdominal pressure ventilation management in neuromuscular diseases: a Delphi panel Consensus. Expert Rev Respir Med 2023;17:517-25. DOI: https://doi.org/10.1080/17476348.2023.2226391
De Mattia E, Falcier E, Lizio A, et al. Passive versus active circuit during invasive mechanical ventilation in subjects with amyotrophic lateral sclerosis. Respir Care 2018;63:1132–8. DOI: https://doi.org/10.4187/respcare.05866
Esquinas Rodriguez AM, Scala R, Soroksky A, et al. Clinical review: humidifiers during non-invasive ventilation – key topics and practical implications. Crit Care 2012;16:203. DOI: https://doi.org/10.1186/cc10534
Schwarz SB, Windisch W. Outpatient noninvasive ventilation: can the Dutch setting serve as a blueprint for other countries? Chest 2020;158:2255–57. DOI: https://doi.org/10.1016/j.chest.2020.08.004
Sheers N, Berlowitz DJ, Rautela L, et al. Improved survival with an ambulatory model of non-invasive ventilation implementation in motor neuron disease. Amyotroph Lateral Scler Frontotemporal Degener 2014;15:180–4. DOI: https://doi.org/10.3109/21678421.2014.881376
Duiverman ML, Vonk JM, Bladder G, et al. Home initiation of chronic non-invasive ventilation in COPD patients with chronic hypercapnic respiratory failure: a randomised controlled trial. Thorax 2020;75:244–52. DOI: https://doi.org/10.1136/thoraxjnl-2019-213303
Heiman-Patterson TD, van den Berg LH et al. Understanding the use of NIV in ALS: results of an international ALS specialist survey. Amyotroph Lateral Scler Frontotemporal Degener 2018;19:331-41. DOI: https://doi.org/10.1080/21678421.2018.1457058
Vitacca M, Vianello A. Respiratory outcomes of patients with amyotrophic lateral sclerosis: an Italian nationwide survey. Respir Care 2013;58:1433-41. DOI: https://doi.org/10.4187/respcare.02236
Ambrosino N, Pierucci P. Using telemedicine to monitor the patient with chronic respiratory failure. Life 2021;11:1113. DOI: https://doi.org/10.3390/life11111113
Pierucci P. Tele-consultation: a new promised land? Pulmunology 2023;29:2-3. DOI: https://doi.org/10.1016/j.pulmoe.2022.08.008

Ethics Approval

ERS scientific committee validated the survey before its submission to ERS Assembly 2.02 (NIV dedicated group)

How to Cite

Pierucci, Paola, Claudia Crimi, Annalisa Carlucci, Lavinia Palma, Alberto Noto, Giovanna Elisiana Carpagnano, and Raffaele Scala. 2022. “Long-Term Home Noninvasive Ventilation (LTHNIV) in Restrictive Thoracic Diseases: The Italian Snapshot”. Monaldi Archives for Chest Disease 93 (4). https://doi.org/10.4081/monaldi.2022.2459.